An advisory panel on Wednesday recommended that U.S. health regulators reject the use of Amgen Inc’s drug Xgeva to delay the spread of prostate cancer to the bone, dimming the chance of a wider use for one of the company’s key growth drivers.

The outside advisers to the Food and Drug Administration voted 12-to-1 that the benefits of the injectable drug, known chemically as denosumab, did not outweigh the risk of developing a jawbone-destroying condition.

Xgeva is already approved to prevent fractures and related problems in advanced prostate cancer that has spread to the bone, and the company is seeking additional approval for use of the drug to delay or prevent the spread.

The drug did delay the spread of cancer to the bone by a little longer than four months in a clinical trial of 1,432 men with prostate cancer who had stopped responding to hormone therapy.

But about one in 15 men who took the drug developed osteonecrosis of the jaw, a severe side effect in which jawbone tissue dies, exposing the bone. that rate is far higher than has been seen with widely used osteoporosis drugs.

“If you ask a patient, ‘Do you want to delay your disease by five minutes, but get significant toxicities?’ I think that would give them pause,” said panel member Maha Hussain, a professor of medicine in the hematology and oncology division at the University of Michigan.

The FDA usually follows the recommendations of its expert panels and will make a final decision by April 26.

Most analysts had expected the unfavorable panel vote because the FDA had questioned whether delaying the spread of cancer to the bone was a meaningful benefit to patients given that the drug did not help men live longer or delay the growth of prostate cancer..

“We believe the panel recommendation reinforces the FDA’s view, which has been consistently negative, and approval is unlikely,” said Geoff Meacham, analyst at JP Morgan, in a research note.

However, he said the risk of a rejection of wider approval for Xgeva had only a modest risk to his long-term revenue estimates for Amgen, the world’s largest biotechnology company.

Benefits to patients?

Xgeva and a related osteoporosis drug Prolia are seen as among the most important growth drivers for Amgen and are expected to help offset declining sales of the anemia drugs that had been the company’s backbone.

In the fourth quarter of 2011, sales of Xgeva rose to $134 million from $100 million in the prior quarter, and it is expected to eventually become a $1 billion-a-year drug.

The company said the new use for Xgeva would be targeted at about 50,000 men in the United States at that advanced stage of the disease.

Panel members questioned whether using the drug earlier actually benefited patients, as many did not have symptoms of the disease, but would suffer any drug-related side effects.

However, the patient representative on the panel voted in favor of approval.

“There isn’t a treatment that a man with prostate cancer gets that doesn’t have devastating effects on his masculinity and his quality of life,” said James Kiefert, of Olympia, Washington. “In my opinion, the men who would be candidates for this treatment would be standing up and cheering another option for them.”

His views echoed the favorable comments of several urologists, who testified in favor of the drug during the public hearing.

Amgen said Xgeva provided a meaningful benefit to prostate cancer patients by preventing the spread of their disease to the bones, which is not uncommon.

“We look forward to further discussions with the FDA as they continue to review our application,” the company said in a statement after the vote.

If Xgeva gains wider approval, it would be the first drug to delay the spread of prostate cancer to the bone, Amgen said.

Amgen said it was also testing Xgeva in other cancers, including breast and lung cancer and the blood cancer multiple myeloma.

reference cloud [transfer] the principle of common chronic diseases and the treatment of errors

a lot of chronic, long cure, although there will be no moment of life danger, but the patient body, life, mental brought a lot of trouble such as quality of life is not high. many patients, in fact, not difficult to rule, which is the level of medical reasons, but also patients with other factors.

cold

cold although a small problem, but throughout the year, the constantly repeated colds, which is false as the fundamental physical reasons. most people go to a cold medicine cold medicine, and now the cold medicine, the use of the medicine to the non-steroidal analgesics, the use of proprietary Chinese medicine, many doctors under the influence of Western theories, but also anti-inflammatory anti-inflammatory, and select some, such as heat detoxification of the bitter cold medicine lost the stomach for a class, these drugs the most damage to the spleen and stomach, bad stomach, and eat the food digestion and absorption can not be effective, the body will be weak, empty body, and to repeatedly in the cold. as early as the Han Dynasty, Zhang Zhongjing doctors had “typhoid medicine on the 20th after the willing service,” the next training, the incidence of many diseases people have, and cold-related, a little cold, when the cure is not urgent, not urgent after cure conditioning when the body virtual, it will “all diseases from birth.” This back and forth for the cold, the usual treatment is the key to conditioning, such as the deficiency of the cold, not cold in peacetime, it may take two to three months consecutive spleen stomach and so on. Clinically, many children came to see the common cold, the parents always told us the original in good health and poor health from the beginning in kindergarten, year-round cold, in fact, largely hungry children in kindergartens, children body easy to implement and easy to empty, time goes by, the child first virtual stomach, spleen and stomach qi be a virtual must, lack of resistance to decline in lung, the children will be easy to catch a cold. for this situation, as long as the medicine usually eat appetizers and Yupingfeng will be good.

cough

patients are always problems that only a small cough, cough, the flu is often met with, so people will always cough and link to think about a cold, in fact, back in “via”, “internal organs are people cough,” which shows the complexity of one disease, cough.

the pathogenesis of cough for the gas Shangni, disease location mainly in the lung, but “Lord of the lung for gas, the kidney is the root of gas” for some long years of many kidney-based cough, lung is not declared as a standard. Empty stomach is producing phlegm, cough and see if the patient is not put up the feeling of gas, it is weak, it is too Insufficiency of Qi Qi, remember that 10 years ago, my father a bad cough, more than a month, I was in Hunan, mountain home, no phone, only through writing, I am told is a deficiency letter, eat ginseng, time to eat 30 grams, eat a ginseng, coughing like.

cough and sometimes a self-regulation to protect the phenomenon , cough and sputum for many, treatment must be based expectoration, many patients a loquat cough cough to go and get a class what to eat, these drugs are not for sputum, a sputum but to eat sputum closed in the body. I find that there are still a lot of cough medicine ingredients poppy capsules, which is a very strong cough medicine only, sputum is not necessary to use, instead of eating can not cure cough increased. Clinically, mistakenly took this medicine sicker the patient is met with many.

high blood pressure

Hypertension is a common disease, common diseases, the disease with the development of the disease, can affect the heart, brain, kidney and other vital organs, but also other cardiovascular diseases, the most common cause, the most important factor. now the trend to young people, many people seek cure multi-party, also lost some confidence on. Patient to know the severity of the treatment effect and no good to worry, for this disease, I treat many have achieved a certain effect.

Chinese ancient literature, not the name of hypertension, but symptoms of the records, scattered, “Vertigo” “headache”, “liver-yang,” “liver wind”, “stroke” and other discourses. many Chinese life and death hold “via” “all the wind out of dizzy, all belonging to the liver.” “on to treat patients,” said: “The liver as the blood is more than wins, then the anger of good red eyes disease, reverse the dizziness, deafness is not Cong . “exposition, so the treatment of hypertension infestation of blindly holding anger to guide treatment, moving the powder is fierce with diarrhea Liver, oysters and other city of the keel into chaos medicine, medicine to take some time off, not lower blood pressure, stomach eat bad, bad sick patients heaved his rule, it is tragic. Although blood pressure is great anger in the proportion of hypertension, but not all are anger, treatment debate when the thin, high blood pressure, such as phlegm, stomach is empty and we have had students phlegm, and then you eat Xiasangju such as cold medicine, oysters, and other stone damaged keel stomach, his condition only sharpen heavier. very many doctors now treat high blood pressure medicine, Western medicine is based on pharmacological studies to guide treatment, such as terms from the current pharmacological Eucommia, Prunella, mistletoe and other antihypertensive drugs have a better role, with the indiscriminate use of blindly Meng and not through the dialectic of Chinese medicine with western medicine theory to guide medicine, this treatment failed to cure naturally.

hypertension may be at TCM There are many syndromes, are yin yin tonic type were added with the drug to treat Liver; are yin and yang deficiency type who is not suitably cold medicine, the application of Nourishing yang, nourish the yin of the drug, treatment of patients with this syndrome and more with warm Codonopsis, Astragalus, Eucommia, Rehmannia, etc., used in the blood pressure returned to normal, if the chrysanthemum, Uncaria, Abalone shell, etc., blood pressure, the results are poor, but as the patients the stomach to eat bad, when no drugs to facilities; phlegm type of hypertension, such patients are very heavy body moisture, which patients are mostly under the pressure of high blood pressure, the pressure sometimes but not high, treatment should be the spleen and stomach of phlegm (with Xiangsha Liujunzi, Pingwei other drugs to treat the basis of party) to rule-based; Blood hypertensive patients, the patient tongue will be bruising, headache, tingling in the main, and There are other bleeding symptoms, treatment should be mainly to blood circulation, nor is appropriate Liver drugs, eat a lot of blood will not flow, can not cure disease but will increase the disease.

addition to modern medical research is also necessary to learn the results, such as hemodynamic study found that patients with hypertension have a marked rise of blood clotting, so the treatment, the blood circulation drugs is also a must with the goods.

high blood pressure and diet has a significant emotional relationship, so high blood pressure patients, salt intake, high fat foods should be as fat, eat less. I want to maintain the comfortable feel of a Pan treatment of patients, in addition to atrial fibrillation and other heart disease also have high blood pressure, major hospitals in Jinhua cure has been a long time, because eating too much Danshen Dripping Pill (containing borneol, loss of gastric ), the spleen and stomach is not good, feeling very depressed, angry from time to time, to my office to see her treatment of body fat, thick and greasy tongue coating fat, veins How, I diagnosed as spleen dampness, the treatment for a month, blood pressure is down stable, once called to say serious dizziness, high blood pressure, and later asked that quarrel with his wife, a bad mood, can be seen on the emotional factors of hypertension is critical.

insomnia

has been plagued by chronic insomnia is a disease that many people say is not a disease of the disease, brings great distress , makes both physical and mental fatigue. some eat through the long-term stability to sleep, but it brings stability, side effects, it is obvious to all. Cause insomnia for many reasons, emotional reasons, such as emotional over-stimulation, but the fatigue caused by too much thinking is the main reason for the long-term insomnia (thought is angry, thinking too much, qi stagnation, falling will of fire, while on the red anger insomnia); a dietary reasons, such as wine, tea, coffee is a direct factor to insomnia, but long-term good fat meat, sweets and other reasons are also the indirect cause insomnia; physical weakness, the elderly, is also the main reason for the long-term insomnia.

Chinese perspective, the main gods heart, disease location in mind, always due to loss of homes made of mind, regardless of is anger, Firelight, kidney (Yin Yang may have resulted in insomnia), phlegm, etc., there is always the fire disturbed mind before sleep, so I treatment of insomnia with a fire word governance. From the five internal organs, the liver and spleen have a greater relationship, especially in the liver and spleen, so I treat mostly from the liver and spleen of governance, achieved good clinical results. Long-term insomnia, speaking from the pathological nature of the main factors is physically weak, especially the liver of the red fire of anger on the most, accounting for 85% ratio.

said Qing Wang Gaoxu most intractable liver, liver to support the kidney, spleen culture of the pulmonary system of . A depressed mood is a brush fire on the disturbance of mind and sleep, the fire red lung injury in the lung are coughing, dry kidney under the water leaving the kidney, spleen and stomach are the spleen and stomach disease across the system. Liver sparse diarrhea, an air-conditioning, people always frustrated when things always take things too hard, and I feel pressure, and the stagnation of the fire, resulting in a first-class series of diseases. Insomnia is one of the products of one.

many insomnia patients are seeking treatment come to see the prescription before eating, always Suanzaoren night delivery rattan, raw keel, raw oysters, magnets and other sedative drugs to treat city patients ate no effect, but the first taste bad. as everyone knows, chronic illness of the person, the mood will be bad, will Yu qi, liver qi depression stomach will not, so the treatment, the insurance throughout the stomach is a major treatment principle, I never used these drugs for the treatment, but the deeper to consider this “fire” disturbed mind link to village and treatment.

if you have insomnia patients, a traditional Chinese doctor, take a look at prescription drugs to see which components, and their own the spleen and stomach, and if bad stomach, there are things in the keel of drugs, physical oysters, magnets and other stone damage the stomach of the drug, better not to eat, which medicine to cure insomnia, but spleen and stomach injuries.

constipation

constipation for many reasons, many Chinese point of view, there is actual situation of the sub, eat something lit, temporary constipation, which are mostly real disease, but many years of constipation, multiple virtual mainly on the body. Therefore, treatment of constipation is a whole person from the modulating conditioning, so as to fundamentally solve the problem.

constipation is constipation, so the treatment is also able to pass legislation, but not to eat the rhubarb through to diarrhea is the pass, should be based on the patient physical condition is dialectically, not blindly pass through to the next general rhubarb. anger weight eating anything, constipation is temporary and rhubarb to diarrhea, in which case also timely and decisive and rhubarb, or who would give birth to other diseases. The patient is long-term constipation, which are mostly empty, and there is Qi constipation, constipation, blood deficiency, yin deficiency constipation, Yang constipation.

Qi constipation, bowel movements did not see the effort to push out the feeling of stool and the stool will be a pull think there is no effort, usually people tend to fatigue, a large but hard or not hard, some of the hard first, pulled the last change of the stool runny thin, this is the treatment of constipation when make Pifei deficiency of gas, enough gas there pushing stool, can eat four gentlemen pills, Bu Zhong Yi Qi Wan, Shen Qi Jianwei particles to treat, do not be mistaken for diarrhea such as prescription eat rhubarb, or, constipation will be more severe.

yin deficiency constipation, this patient stool dry, like the capsules of sheep feces, often mouth thirsty. Just had a baby this situation more common in post-natal women, bleeding after surgery the patients had high fever after the sweat too much heat STD patients, but also many insights as chronic wasting disease (such as diabetes, high anger Wang blood pressure, tuberculosis, etc.) of the patients. Blood gas can, for the generation of patients, surgery patients, high fever (fresh gas fire, after the patient will have fever fatigue is a deficiency) after patients in the blood at the same time, must qi, no blood free to students, have blood and make up. Otherwise, it can not cure. for some patients with chronic heavy anger, when appropriate treatment is started with a little rhubarb, but the amount can not be used more, so anger can be in a timely manner to the restoration of Yin and Blood, or Yin and Blood difficult to fill up, but the rhubarb can not eat for a long time generally eat about two or three days, the stool should be removed from rhubarb on a pass to the main blood yin tonic.

Yang and constipation, which is not much, but still some, I rule too many cases, this types of patients usually see symptoms of constipation, cold hands and feet are cold feeling, pale white no color, women, and some will dysmenorrhea (dysmenorrhea pain in this heat with a hot water bottle will be relief under), many of the clear urine, with nocturia is also a lot of the night, this constipation drug yang must be used, such as the misuse of gunpowder to eat rhubarb and other heat diarrhea, constipation can not cure, but may be sicker, and even in fact caused the problems.

recent years, some businesses in order to product sales, made a lot of “detoxification” product advertising, and many people also marked by a bowel movement and detoxification an equal sign, it is ridiculous. Speaking of the body of the poison, from the Chinese point of view, all human life activities may include the metabolites and the stuttering went from bad food on the human body, from nose sucked bad substances. Speaking of scheduling, there are from sweating, from the urine out, eat bad things some people will spit out, the lungs by coughing to schedule, etc., which are ranked the way, not just a way from the stool.

because of the “detoxification” misunderstanding, for health, many people will choose some of both have diarrhea effects of drugs and eat some food, and long-term, and finally got serious constipation. This is to be noted.

constipation of child, if it is heavy fire granules can eat taurine, taurine is 21 kinds of essential amino acids which the body of one, children eat there tonic role in the body of a child easy to empty easy to implement, easy to heat cold easily, so can not use strong medicine to treat, for the children from the clinical constipation often use this drug, the effect is very good, no side effects.

hyperostosis

pathological bone proliferation is a result of local joints, muscles, ligaments, movement disorder, pain is associated with The main symptoms of the disease. can occur in the cervical and lumbar spine, joints and heel, etc., including hypertrophic spondylitis, hypertrophic osteoarthropathy and heel spurs and so on. The disease occurs in more than 40 years old and engaged in the load-bearing, long standing, sedentary staff to a larger range of joints, spinal lesions more common. Osteoarthritis is a degenerative lesions of aging. Western medicine currently used non-steroidal anti-inflammatory analgesics and surgical treatment to alleviate symptoms of a certain effect, but a special and effective therapy.

bone stromal hyperplasia can be attributed to traditional Chinese medicine “Gubi” Benbingfasheng kidney is a fundamental issue, the treatment must be based to a large number of drugs to treat kidney, which is the key to treatment. Exogenous the cold dampness, qi stagnation and blood deficiency is a local disease standard. now many doctors treat the disease, the use of Integrative Medicine to treat, with traditional Chinese medicine with western medicine rheumatism blood of non-steroidal painkillers combined treatment, although the pain can be only temporary, but this disease is a degenerative diseases, rheumatism drug that there is some blood results, but gas consumption of medicines have side effects of gas injury, non-steroidal painkillers damage the spleen and stomach, taking the course of time, illness did not rule, the body is very weak to eat. some patients with severe liver and kidney because of the people, this treatment method not only can not cure pain, but will make the pain increased, I e seen this many cases. Finally, the big agents or wolfberry fruit, white peony root and other drugs to treat blood and yin tonic was able to control.

many doctors use the drug for the blood circulation rate is also high, which is derived from traditional Chinese medicine on the ” chronic illness will be stasis “,” more pain syndrome stasis, “” the first rule governing the wind of blood, blood MORALS self destruction “theory, a lot of blood circulation is necessary to use drugs, but for safflower, peach kernel, triangular, and so blood is Curcuma Meng medicine must be aware that gas consumption of these drugs side effects of blood loss, the treatment of osteoarthritis can not eat a good ten days twenty days, have to eat more than half of drug treatment in order to fundamentally over, so the drug with the blood or the use of angelica, Millettia role of the blood, which are blood medicine there as well, see if patients see a doctor prescription, there are flowers, triangular and other drugs, better pay attention. Severe pain of the disease, Chinese medicine analgesics, such as the highly toxic drug Strychnos, raw aconite and other commonly used drugs have a doctor, but medicines are toxic, the amount of accidentally poisoning, joint pain due to oral intake of these poisons who happens every year, I think, not a last resort better not to eat, eat a very strict control is also the dose, and long-fry than poison.

the use of insect drugs, also has a high frequency, a movement protein of the medicines, many people eat the appearance. some of them toxic, such as centipedes, nosed pit viper, etc., which is also to be noted.

cold the blood stagnation, such patients usually got to keep warm, especially in winter. Treatment of the disease process may have a longer, patients must be prepared to take medicine for a long time, can not say that eating 10 drug does not hurt to eat, because the kidney is a fundamental problem of this disease, kidney can not fill up all of a sudden, a lot of book reports that certain medical treatment be cured of the disease a few days, thousands of losses do not go to the letter, which is impossible.

long cure patients, he said no cure for the disease, which is wrong, but many doctors do not to study in depth the nature of kidney disease is a degenerative disease, medication errors made. This patient, I had more treatment, to treat patients without a spleen and stomach is good, not just kidney problems, stomach is a very critical issue, I generally taste good conditioning of patients first, and later re-started to kidney, or stomach is not good, eat the kidney of drugs can not be effective digestion and absorption, but also affect treatment.

chronic hepatitis

chronic hepatitis from acute hepatitis and more evolved, mainly loss of wrong treatment of acute hepatitis after treatment delay caused by lack of human righteousness (decreased immunity), the long-term toxicity in the body from heat. another patient has always been bad stomach diet, maladjustment, emotional disorders, and drug poisoning and other factors.

hepatitis, Chinese medicine, it is hot and humid toxin, the combination of humidity and heat, such as oil into the surface, is difficult to decompose, so the treatment must have a fairly long process to treat, can not hope for success too hasty and indiscriminate use of strong medicine . With modern medicine continue to study Chinese medicine, you find many effective drugs against hepatitis, so many doctors to the Western theory to open in the prescription, but the rationale of modern medicine are mostly out of the drugs such as capillaris, Hypericum yellow, and other similar drugs clearing away heat, so doctors use these drugs shoved to the over use of cold medicines, cold and wet each node is not based, damage Spleen, Spleen sluggish, cold increased, but also involving the kidney. Finally, the more severe disease more treatment.

The key to treatment of the disease spleen and stomach, blood, liver, heat Lishi detoxification multi-combination drug is not excessive, the drug of choice to choose herbs and pure drug, so is suitable for long-term medication, and ultimately to disease treatment good.

spleen governs the transportation and transformation, moisture can not be shipped, the depression in the body, so the treatment of chronic hepatitis will be shipped to health as a fundamental law of the spleen and stomach.

wet depression in the body will affect the operation of blood, poor blood is a very critical chronic liver disease pathogenesis.

patients sick for a long time, bad mood, then qi knot, so the treatment of chronic hepatitis to liver qi stagnation must.

Yiwu patients to remember a rule, when the edge of my students also, he saw me many different types of medication, but the amount is not large. He asked me why the previous dosage with acute hepatitis type less heavy, I said, for the treatment of acute hepatitis symptoms are many and variable speed, if not treated in time or will be transformed into chronic, or it will be a serious risk to life. so the treatment must be strong medicine, the disease rate to go. Smell of multi-drug less generous, it would be distributed the drug, amounting to less than fast track results. To chronic illness period of stable disease, related to various pathological nature, so the treatment must be for this situation, with the generous, taking into account various aspects, small dose, do not produce drugs to disease, drug case excessive force will not accept a patient body, but will become students of other diseases. Sun Ssu-all in this line of thought of “Qian Jin Fang.”

got hepatitis, in acute, is the best treatment, and generally a month or two will be able to recover. however, if the acute into a chronic mistreatment does not mean that can not be cured, as long as there are good and patients with prescriptions, and more can be cured. if even a long time, chronic hepatitis, cirrhosis of the liver into the early or can cure, and treatment of cirrhosis of the liver of patients I have too many cases, the general took an early one and a half to two years to rule, and more can be cured , liver fibrosis can be reversed, but there are two patients with advanced cirrhosis of the liver, and to see a severe ascites, in which case, only a dead horse a living horse rule, can only prolong the survival time only, there doctors to make money, how the effect of advertising on the Luanchui advanced cirrhosis of the liver can cure anything, do not write to the patient, the patient had a narrow escape to such a degree, in China really can have highly skilled doctor I have not heard back from the dead before.

The patients had chronic hepatitis, in the diet is too attention, anger heavy, cold bad digestion, and deep-fried, grilled, better not to eat, and eat less. Wine will be banned. Of hepatitis is not an incurable disease, as long as a reasonable treatment or can be cured, so do not be afraid of chronic hepatitis had to keep a good attitude.

still a lot of chronic diseases, if all went to finishing, there are too many to write, several examples, mainly to enable patients to be sensible to look at your body, do not be blind superstition what. But as a doctor, but also as a very serious effort to study the treatment of chronic diseases and ideas to make effective solution can be improved. “Chinese have a chronic illness and more virtual,” saying that a long sick people, but also a very good physique, which is unrealistic. But this physical conditioning, the best and most fundamental is the conditioning of the stomach, spleen and stomach are the fundamental activities of human life, and only a good stomach, patients can be expected to cure the disease. many chronic diseases (such as asthma, etc.), to the latter phenomenon is very serious deficiency, but the stomach is in the eating kidney can not effectively absorb the drugs, the natural can not be achieved effective treatment, so my treatment to start always start from the spleen and stomach, spleen and stomach to be patient is better, they can then adjust their programs, even in the winter eating herbal paste, eat the same spleen and stomach a few days to open the medicine Paste this to make more effective absorption I think this is the key to the treatment of chronic problems. I saw many doctors now treat disease, no illness from the overall look, not a macro, strategic thinking, only to see a temporary treatment, the development of the disease is not predictable vision. The patient is seriously ill in a hurry, as one seeking quick, be content with a time of fast, and between patients and doctors, one willing to fight, one is willing to suffer, and this should be a lot of chronic diseases can be very effective treatment is not one of the reasons the .

other chronic disease in order to achieve the desired effect, adhere to medication is a key. From chronic diseases not ??, is the accumulation over many years, treatment can not be available. many patients feel better up some medicine, do not go to take medicine, always feel that this disease be cured, and such an action would come to naught. Yiwu has a lot of teachers coming here to school governance, there is only one teacher can adhere to medication, and now her body in good condition, other teachers came to eat one or two months medicine, do not come, I did not go to contact, but I would like to A chronic atrophic gastritis patients, and eat drugs can cure a couple of months, this possibility is very small, I do not have this level, to spend a month or two like that, put the cure . many chronic diseases, medication ten days, and do not see any significant results, the patient turn to his anxious and doctors. / High and low levels of doctors, if you find five doctors, including one technique is poor, the doctor will treat the results of the other four will be zero. This is a very common thing. Hangzhou, a patient, long cure in Hangzhou, the doctor said to rule over no less than 30, then I seek for the treatment of Jinhua, the patient condition is very simple in fact, Chinese medicine is just a stagnation of the fire, why do so many doctors in Hangzhou also can not cure The main doctor is a doctor too much. many times a small problem, becoming a disease can not cure, but will be worse, sick society for many reasons, but due to ill health this is a big reason, had little disease, disorder take medicine, eat the one with problems.

Chinese patients health awareness is not strong, in the presence of many the errors are sick go to treatment, usually only know chaos tonic, can not make up the body, but to get that one wrong. Got sick around the doctor, can not cure disease, there are many factors that exist, the overall level is not very good doctors, it is China true. for the Chinese, the texture of the drug is also a very critical reason that I prescribe for the patient, the patient elsewhere grab bottles to good effect without my medicine, the patient thought I was done with hands and feet. I am for myself, not in the unit are paid, so reputation is my basic survival, drug quality is good or bad is related to my treatment, I naturally go into better medicines, so from my This effect is good grasp of the drug point. take the patient to fill a prescription doctors prescription for treatment, no effect would not say that the drug problem, only that the level of prescribing doctor, so I not much prescribing for patients. some patients are more special, or will I prescribe a lot of things after that, like to see fill a prescription who fill a prescription is not enough, because some people are going to buckle under the amount of drugs, inadequate, so that good can not be achieved treatment. another reason is that the patient own reasons, such as do not fit what you eat. an easy to heat stroke patients, poor digestion of raw food is not good to eat, but some patients is good, beer on ice from time to time. Patient condition changes constantly, the patient took the pills at one stage worked well, to think that is a “secret” sick to grab by prescription filled to eat, because the development of different disease, with The drugs are different, the patients do not understand this truth, and sometimes can not cure disease, but will eat their way to the problems. I remember one Jinhua had patients with chronic atrophic gastritis, a little thing to eat a little stomach fullness, for the first time to diagnosis, the patient inner fire, heavy, dry stool, I used a small square decoction to treat basis, patients feel comfortable eating. I only opened the three drugs. After two weeks, the patient scold me that I harm, that she ate after my prescription medicine every day, diarrhea, people feel that no point of effort. I asked in detail, the original prescription that the patient will have to go elsewhere to get arrested 10 drug to eat. This situation is occurring from time to time. A doctor in the treatment process to achieve a good effect, is the problem with many, many problems occur is unpredictable and uncontrollable, such as the patient will not know the fight, will not you eat something, will not other drugs, and so will you eat. It had two sides with doctors and patients can be achieved.